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Client Contact Details

First Name *

Last Name *

Company Name*

Phone Number *

Country of Residence*

Your Email *

Are you a broker? *
YesNo

Loan Details

Loan Amount Required (including any amount required to repay an existing 1st charge mortgage) *

Purpose of loan (What will the loan be spent on?) *

Purchase or Refinance Loan

PurchaseRefinance

Are you looking for 1st or 2nd Charge Loan (If the property is not located in Great Britain then the loan must be 1st charge) *

1st Charge Loan2nd Charge Loan

Duration of loan required (Min 3 months) *

Retained Interest or Serviced (Do you wish to pay the monthly interest (Serviced) or have no monthly interest and just repay capital & interest on redemption of the loan (Retained) *

Retained InterestServiced

Loan Exit (How will you be repaying the loan) *

Property/Security Details

Is the property held in a company name or personal name?

Company NamePersonal Name

Property Address *

Property Value *

Current Mortgage Balance (What is the total amount of mortgage/debts attached to the security being used) *

Name of Current Mortgage Lender *

Are you behind on your mortgage payments (If you are behind on your current mortgage please state the number of missed payments) *

Do you already have Bridging Finance on this property?

YesNo

Description of property (Please tell us about the property i.e. number of bedrooms, size, number of floors, good/bad condition, rented, empty etc) *

Property Use (Is property residential, semi-commercial, commercial, development) *

What is the property currently being used for? *

Please use this space to tell us about anything that is relevant or useful regarding this loan enquiry?

How did you hear about us? *